Tadalafil + Oxytocin Troches for Intimacy Support (Clinician Reviewed)
A clinician-guided troche option that may support **confidence, intimacy, and connection** for eligible patients, fulfilled by a pharmacy and shipped discreetly.
Prescription required. Treatment is provided only if a licensed clinician determines it is appropriate based on your medical history, medications, and symptoms.
Clinician review + safety screening
Pharmacy fulfillment + discreet delivery
Transparent 6-week options (no subscription required)
Available in eligible states.
Choose your Tadalafil + Oxytocin Troche plan
- Form
- Oral
- Dosage
- Tadalafil 5mg/Oxytocin 100IU troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 10mg/Oxytocin 100IU troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 10mg/Oxytocin 100IU/PT-141 1000mcg troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 20mg/Oxytocin 100IU troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 20mg/Oxytocin 100IU/PT-141 1000mcg troche before sexual activity
- Form
- Oral
- Dosage
- Tadalafil 40mg/Oxytocin 100IU troche before sexual activity
What this combination is designed to support
Who may be a good fit
This option may be considered if you:
- Want ED support with a longer window of flexibility (tadalafil-based)
- Prefer a troche format
- Want an option that may support intimacy and connection alongside confidence
- Want clinician review and discreet delivery
Who may NOT be a candidate
Your clinician may recommend avoiding this if you:
- Take **nitrates** (chest pain/angina meds)
- Take certain heart/blood pressure medications with unsafe interactions
- Have a condition where sexual activity is not advised
- Have uncontrolled cardiovascular disease or severe low blood pressure
- Are pregnant, trying to become pregnant, or breastfeeding (relevant for oxytocin use)
- Have allergies/sensitivities to any ingredient
What you get with StemVera
Included:
- Secure online intake + symptom review
- Medication safety screening (health history + current meds)
- Clinician review + prescription if appropriate
- Pharmacy fulfillment + discreet delivery
- Ongoing support via secure communication
- Want standard ED options? See ED Medication
How to start tadalafil + oxytocin troches
- 1
Complete intake
Share symptoms, goals, and your full medication list.
- 2
Clinician review
A licensed clinician evaluates safety and recommends the right option.
- 3
Discreet delivery
Your prescription ships discreetly with tracking where available.
- 4
Follow your prescribed instructions
Use only as directed. Message your care team with questions.
Possible side effects
Common
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Mild dizziness
- Back or muscle aches
Stop and seek urgent medical care
- Chest pain, fainting, severe shortness of breath
- Vision changes or sudden vision loss
- Sudden hearing changes
- Erection lasting longer than 4 hours (priapism)
- Signs of allergic reaction (hives, swelling, trouble breathing)
Important safety notes
- **Never combine** PDE5 inhibitors with nitrates
- Tell your clinician about all medications (including alpha-blockers)
- Alcohol can worsen sexual performance and increase side effects for some people
- Use only as prescribed and do not exceed your directed frequency
- Do not use oxytocin products in pregnancy unless specifically directed by a clinician for an approved medical reason
Explore related sexual health options
ED Medication (Tadalafil or Sildenafil)
Standard pill-based options for erection support.
PT-141 (Bremelanotide) Injection
Libido-focused option for select patients.
Oxytocin Nasal Spray
Intimacy support option for eligible patients.
Sexual Health Hub
View all sexual health treatments.
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